Journal of sleep disorders & therapy最新文献

{"title":"Family History of Successful CPAP Treatment is Associated with Improved CPAP Compliance","authors":"J. Stanley","doi":"10.4172/2167-0277.1000298","DOIUrl":"https://doi.org/10.4172/2167-0277.1000298","url":null,"abstract":"Background: Non-compliance with continuous positive airway pressure (CPAP) is a significant problem in the treatment of obstructive sleep apnea (OSA). When compliance is defined as an average CPAP use >4 hours/night, 46%-83% of patients are non-compliant. Poor compliance leaves undertreated patients at increased risk for cardiovascular and neurocognitive sequelae of OSA. Factors known to affect CPAP compliance include disease severity, perceived symptomatic benefit, and intensive and early support through the sleep clinic. Objectives: The objective of this study was to assess the effect of a family history of successful CPAP treatment on CPAP compliance. Methods: An anonymous survey of 410 adult patients attending CPAP follow-up clinic at a tertiary medical center was conducted between March 2010 and February 2011. Patterns of CPAP use were assessed. Compliance was defined as an average CPAP use >4 hours/night. Subjects were also surveyed regarding the presence of first degree relatives with a diagnosis of OSA, their use of CPAP, whether they described their CPAP as “helpful” and whether or not they “liked” using their CPAP. Results: Thirty-eight percent of the patients surveyed (n=157) had a family member who also had a diagnosis of OSA and used CPAP. Of those with a family history of CPAP use, 92% of compliant patients had a family member who described their CPAP as “helpful” vs. 71% of non-compliant patients (p=0.002). Logistic regression analysis to predict compliance vs. non-compliance, controlling for age, gender, ethnicity, and a diagnosis of co-morbid hypertension or diabetes showed that having a family member who found CPAP “helpful” was associated with an odds ratio for compliance of 4.70 (95% CI 1.99-11.07, p value <0.001). In addition, 72% of compliant vs. 60% of noncompliant patients had a family history of CPAP use with a family member who “liked” their CPAP (p=0.3). Conclusion: CPAP non-compliance is a complex multifactorial clinical problem. This study shows that familial social support, in the form of modeling CPAP use and self-described helpfulness of CPAP therapy, is associated with CPAP compliance.","PeriodicalId":73946,"journal":{"name":"Journal of sleep disorders & therapy","volume":"07 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2018-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70795735","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Relation of Snoring Habits with Body Mass Index and Neck Circumference among Adult Population","authors":"Biswas Rsr, Rahman Mh, F. Chowdhury","doi":"10.4172/2167-0277.1000293","DOIUrl":"https://doi.org/10.4172/2167-0277.1000293","url":null,"abstract":"","PeriodicalId":73946,"journal":{"name":"Journal of sleep disorders & therapy","volume":"07 1","pages":"1-3"},"PeriodicalIF":0.0,"publicationDate":"2018-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70795334","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Debunking Myths about Treatment Emergent Central Sleep Apnea","authors":"Nikita Malaiya, Mallika Sinha","doi":"10.4172/2167-0277.1000e147","DOIUrl":"https://doi.org/10.4172/2167-0277.1000e147","url":null,"abstract":"Treatment Emergent Central Sleep Apnea (TECSA) is a polysomnographic phenomenon whereby there is emergence of new central respiratory events (central apneas and hypopneas) after preexisting obstructive events have mostly resolved while patient is being titrated with positive airway pressure (PAP) therapy [1]. The acronym TECSA was first used by Nigam et al. in 2016 while describing the prevalence and risk factors related to central sleep apnea developing instantaneously with PAP use [2]. They found that the aggregate point prevalence of TECSA is around 8% while the estimated range varies from 5% to 20% in patients with untreated OSA [2]. This phenomenon can occur at any CPAP setting including very low pressure settings [3]. Few years later, Nigam et al. in a sentinel paper demonstrated that TECSA may not always be transient after all. While most cases of newly identified TECSA resolve in few weeks to few months of PAP use, this is not true for all cases. In a rigorous systematic review, they found that about a third of patients with TECSA may continue to exhibit persistence of PAP related central apneas on re-evaluation [4]. A small proportion may experience what they call delayed-TECSA (DTECSA), referring to patients that do not show TECSA on first titration but go on to develop TECSA few weeks to several months after initial exposure to PAP therapy [4,5].","PeriodicalId":73946,"journal":{"name":"Journal of sleep disorders & therapy","volume":"07 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2018-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70797540","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Obstructive Sleep Apnea as a Risk Factor for Atrial Fibrillation: A Meta-Analysis.","authors":"Irini Youssef,&nbsp;Haroon Kamran,&nbsp;Mena Yacoub,&nbsp;Nirav Patel,&nbsp;Clive Goulbourne,&nbsp;Shweta Kumar,&nbsp;Jesse Kane,&nbsp;Haley Hoffner,&nbsp;Moro Salifu,&nbsp;Samy I McFarlane","doi":"10.4172/2167-0277.1000282","DOIUrl":"https://doi.org/10.4172/2167-0277.1000282","url":null,"abstract":"<p><strong>Objectives: </strong>To conducted a meta-analysis assessing the relationship between Obstructive Sleep Apnea (OSA) and the risk of Atrial Fibrillation (AF).</p><p><strong>Methods: </strong>We searched PUBMED, Medline, and Cochrane Library using the keywords \"atrial fibrillation\", \"obstructive sleep apnea\" and \"sleep disordered breathing (SDB)\". All subjects included had established diagnosis of OSA/SDB. We then compared the occurrence of AF versus no AF. Analysis done with Comprehensive Meta-Analysis package V3 (Biostat, USA).</p><p><strong>Results: </strong>A total of 579 results were generated. Duplicates were removed and 372 records were excluded based on irrelevant abstracts, titles, study design not consistent with the stated outcome, or full-text unavailable. Twelve studies meeting the inclusion criteria were reviewed in full-text; 2 of these articles were eventually removed due to unconfirmed OSA diagnostic modality, and one was also removed based on a control group inconsistent with the other studies. Therefore, a total of 9 studies were included (n=19,837). Sample sizes ranged from n=160 patients to n=6841 patients. The risk of AF was found to be higher among OSA/SDB versus control group (OR; 2.120, C.I: 1.845-2.436, Z; 10.598 p: <0.001). The heterogeneity observed for the pooled analysis was Q-value; 22.487 df (Q); 8 P-value; 0.004, I-squared; 64.424 Tau2; 0.098, suggesting appropriate study selection and moderate heterogeneity.</p><p><strong>Conclusion: </strong>OSA/SDB is strongly associated with AFib confirming the notion that OSA/SDB populations are high risk for development of AF. Prospective studies are needed to ascertain the effect of the treatment of OSA/SDB for the prevention of AF, a growing health burden with serious consequences.</p>","PeriodicalId":73946,"journal":{"name":"Journal of sleep disorders & therapy","volume":"7 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2018-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.4172/2167-0277.1000282","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"36012414","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Age and Gender Related Differences in Patient Awareness of Conditions Associated with Untreated Obstructive Sleep Apnea","authors":"J. Stanley, J. Palmisano, Steven G. Hoshal, Lizabeth A. Binns, L. O’Brien","doi":"10.4172/2167-0277.1000284","DOIUrl":"https://doi.org/10.4172/2167-0277.1000284","url":null,"abstract":"Introduction: Patient education has been shown to improve continuous positive airway pressure (CPAP) compliance in the treatment of obstructive sleep apnea (OSA). This is facilitated by improving patient awareness of both the goals of treatment, proper use of the device and consequences of inadequate treatment. The most obvious outcome of successful therapy is an improvement in excessive daytime sleepiness. However, it is hypothesized that the long-term benefits of disease prevention and lessening the severity of conditions known to be associated with untreated OSA are less well recognized by patients. The purpose of this study was to document the degree of patient awareness of conditions associated with OSA. It is anticipated that a lack of knowledge exists in some patient subgroups; that if educated more intensely about these associations might be more diligent in participating in the treatment of their OSA. Methods: This study was a cross-sectional survey of patients who had been prescribed positive airway pressure (PAP) therapy for OSA. This survey assessed patient knowledge of co-morbid medical conditions associated with untreated OSA. Results: The vast majority of participants failed to recognize all of the most common co-morbid conditions. Significant differences in awareness were noted between different age groups and genders. Conclusions: Patient education is important in achieving CPAP compliance. Patient education, as demonstrated by a relative lack of knowledge of associated co-morbidities, appears to be inadequate. Greater efforts at patient education during each and every patient encounter in the sleep disorders clinic are recommended.","PeriodicalId":73946,"journal":{"name":"Journal of sleep disorders & therapy","volume":"7 1","pages":"1-5"},"PeriodicalIF":0.0,"publicationDate":"2018-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.4172/2167-0277.1000284","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70794789","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Sleep Deprivation in First Responders-How Much of a Contributing Factor to Reported Suicide Rates?","authors":"K. Sexton-Radek","doi":"10.4172/2167-0277.1000E144","DOIUrl":"https://doi.org/10.4172/2167-0277.1000E144","url":null,"abstract":"Suicide rates are estimated to be 30,000 deaths per year in the United States. Recent news stations and periodicals have been covering reporting of increased deaths by suicides of first responders in a 2016 Center for Disease Control report [1]. The first responder group of firefighters, paramedics and police officers now represents a high risk group. Within this population of suicide deaths, features of more males and use of firearms comprises the highest levels of suicides. The identified risk factors associated with first responders are marital discord, trauma, increased stress and role diffusion with the sudden fame associated with event they responded to. Additional triggers to first responders have, to date, been described as stress and loss of health. Sleep deprivation has been identified as a significant trigger factor linked to depression and suicide [2]. However, the specifics of the extent and history of the sleep deprivation as well as other factors such as mood levels are not provided in the news reporting’s.","PeriodicalId":73946,"journal":{"name":"Journal of sleep disorders & therapy","volume":"7 1","pages":"1-1"},"PeriodicalIF":0.0,"publicationDate":"2018-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70797187","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Functional Cognitive Disorders: Can Sleep Disturbance Contribute to a Positive Diagnosis?","authors":"Elhadd K, Bharambe V, Larner Aj","doi":"10.4172/2167-0277.1000291","DOIUrl":"https://doi.org/10.4172/2167-0277.1000291","url":null,"abstract":"Study background: Sleep disturbance may contribute to subjective memory complaints which are frequently encountered in cognitive disorders clinics. Identification of sleep disturbance may contribute to a positive diagnosis of functional cognitive disorders (FCD) compared to dementia or mild cognitive impairment. Methods: Jenkins Sleep Scale (JSS), a validated sleep scale, was administered to consecutive new patients attending a dedicated cognitive disorders clinic based in a regional neuroscience Centre. Results: Sleep disturbance identified using JSS was more frequent in patients with functional cognitive disorders (p 0.8) for FCD when used as a diagnostic test. Conclusion: Identifying sleep disturbance using a simple sleep screening scale may contribute to a positive diagnosis of functional cognitive disorders in a dedicated cognitive disorders clinic. This may have pragmatic implications for the treatment of subjective memory complaints.","PeriodicalId":73946,"journal":{"name":"Journal of sleep disorders & therapy","volume":"7 1","pages":"1-4"},"PeriodicalIF":0.0,"publicationDate":"2018-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70795193","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Lessons Learned from a Narcolepsy Support Group","authors":"M. Rodgers","doi":"10.4172/2167-0277.1000294","DOIUrl":"https://doi.org/10.4172/2167-0277.1000294","url":null,"abstract":"As a sleep physician for a military treatment facility our patient population consists of roughly forty thousand soldiers and beneficiaries. Of which we primarily care for an adult population. Part of my experience as a sleep physician has involved the use of group classes and support group sessions for obstructive sleep apnea, insomnia, oral appliance therapy and nightmare therapy groups. I wanted to establish a support group within our clinic for patients with narcolepsy.","PeriodicalId":73946,"journal":{"name":"Journal of sleep disorders & therapy","volume":"07 1","pages":"1-2"},"PeriodicalIF":0.0,"publicationDate":"2018-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.4172/2167-0277.1000294","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70795548","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Is there an Order in Sleep? Is it recoverable when lost?","authors":"D. Liberati","doi":"10.4172/2167-0277.1000e142","DOIUrl":"https://doi.org/10.4172/2167-0277.1000e142","url":null,"abstract":"Sleep is of paramount importance in our life: lot of it is spent in sleeping; whose quality heavily affects our awake remaining time. A newborn spends most of its time in sleeping, probably completing its maturation when out of the mother at the latest compatible moment with relative dimensions in delivery. The other necessary function is nourishing, now that the direct umbilical maternal feeding is lost, substituted by her breast (or surrogate): thus the first ordering in sleeping is just to interrupt it when needed in order to nourish, which is at least at the beginning every few hours, the baby needing enough, being not yet able to get a lot each time.","PeriodicalId":73946,"journal":{"name":"Journal of sleep disorders & therapy","volume":"6 1","pages":"1-1"},"PeriodicalIF":0.0,"publicationDate":"2017-12-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42205054","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Sadly Awake: Short Sleep Duration and Depressive Symptoms among Adolescents","authors":"S. Reisman","doi":"10.4172/2167-0277.1000277","DOIUrl":"https://doi.org/10.4172/2167-0277.1000277","url":null,"abstract":"Background: Inappropriate sleep duration has been showed to be associated with increased suicidality among high school students in the United States. An association between inappropriate sleep duration and general depressive symptoms among this population has not been reported. Methods: The biennial Youth Risk Behavior Surveillance System uses national and local school-based surveys to measure the prevalence of health-risk behaviors among youth and young adults. Students reported how many hours a night they get on an average school night and whether their daily routine was altered for two consecutive weeks due to sadness or hopelessness. We analyzed whether 8-10 hours of sleep was associated with depressive symptoms. Covariates included sex, race, BMI, bullying, abuse, smoking, alcohol use, and drug use. Results: Students who reported <8 or ≥ 10 hours of sleep had an odds ratio of 1.66(1.49, 1.86) of concurrent depressive symptoms. Conclusion: Routine adolescent depression surveillance may be enhanced by sleep duration assessments.","PeriodicalId":73946,"journal":{"name":"Journal of sleep disorders & therapy","volume":" ","pages":"1-4"},"PeriodicalIF":0.0,"publicationDate":"2017-11-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48423362","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}